South Dakota Medical

Medicare of South Dakota

  • Direct Link
  • Claims processed through Noridian (800) 967-7902
  • Must have Submitter ID in Claimstaker
  • Both forms need to be filled out
  • These forms include claim and ERA setups
  • Payer ID – 03402

Online Registration (login required)

Online Registration Instructions

OLD Medicare Enrolment Form
CMS Enrollment Form

Medicaid of South Dakota

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SKSD0

Medicaid Enrollment Form

BCBS of South Dakota    

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SB889

BCBS Enrollment Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms